But authorities ruled out imposing a second countrywide lockdown as recoveries were growing at more than 78%. Its fatality rate is 1.6%, far lower than 3% in the United States and Brazil, according to tallies by Johns Hopkins University.
Dr. Gagandeep Kang, an infectious diseases expert from Christian Medical College in the southern Indian state of Vellore, said the increase in cases in India was inevitable. But she said the country still has a chance to limit the growth through a strategy of testing and isolating affected places.
Coronavirus: New information released on rare inflammatory syndrome affecting kids exposed to virus
She said “the goal was for India to do enough testing to bring down the test positivity rate, or fraction of tests that test positive to less than 5% or even less than 1%.”
Most of India’s deaths are concentrated in its large cities — Mumbai, Delhi, Bengaluru, Chennai and Pune. But smaller urban centers in Mahrashtra such as Nagpur or Jalgaon have also reported more than 1,000 deaths.
Health Secretary Rajesh Bhushan said on Tuesday that only about 6% of the coronavirus patients in India were on oxygen — 0.31% on ventilators, 2.17% on intensive care unit beds with oxygen and 3.69% on oxygen beds.
India puts 1.3 billion people on lockdown for 21 days
Maharashtra state, with more than 1 million cases, remains the worst-affected region, followed by Andhra Pradesh, Tamil Nadu, Karnataka and Uttar Pradesh. These states account for more than 60% of coronavirus cases in the country.
Referring to media reports that some hospitals in Maharashtra state are facing a shortage of oxygen cylinders, Bhushan said the supplies are adequate in the country, but state governments should monitor the situation.
“The problem happens when at a facility level, there is no inventory management,” Bhushan said.
The Health Ministry said 155 health workers, including 46 doctors, have died so far due to COVID-19.
WHO team going to China to investigate coronavirus origins
India’s meager health resources are poorly divided across the country. Nearly 600 million Indians live in rural areas, and with the virus spreading fast across India’s vast hinterlands, health experts worry that hospitals could be overwhelmed.
Nationwide, India is testing more than 1 million samples per day, exceeding the World Health Organization’s benchmark of 140 tests per 1 million people. But many of these are antigen tests, which look for virus proteins and are faster but less accurate than RT-PCR, which confirm the coronavirus by its genetic code.
With the economy contracting by a record 23.9% in the April-June quarter, leaving millions jobless, the Indian government is continuing to relax lockdown restrictions that were imposed in late March. The government in May announced a $266 billion stimulus package, but consumer demand and manufacturing are yet to recover.
A large number of offices, shops, businesses, liquor shops, bars and restaurants have reopened. Restricted domestic and international evacuation flights are being operated along with train services.
Schools will reopen for high school students for consultation with teachers next week.